Community Acquired Pneumonia
Conditions
Keywords
Nigella sativa, Pneumonia, Pediatric
Brief summary
Complementary and adjunctive therapies are increasingly being explored to enhance asthma control and reduce airway inflammation. Nigella sativa (black seed) is a medicinal plant used traditionally in multiple regions and has demonstrated anti-inflammatory, immunomodulatory, and bronchodilator effects. Its potential as an adjuvant therapy in asthma has attracted attention in both preclinical and clinical research
Detailed description
We hypothesize that supplementation with Nigella sativa will lead to improved asthma control scores and enhanced pulmonary function parameters in this population.
Interventions
Nigella sativa oil administered orally in capsule form at a dose of 100 mg/kg/day as adjunct therapy.
Nigella sativa oil administered orally in capsule form at a dose of 50 mg/kg/day as adjunct therapy.
Low-dose inhaled corticosteroid (fluticasone propionate 200 µg/day) combined with a long-acting beta-2 agonist (two puffs every 12 hours), administered via metered-dose inhaler with spacer.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Children aged 6-18 years 2. Diagnosed with moderate persistent asthma according to the Global Initiative for Asthma (GINA) 2022 guidelines 3. Receiving stable standard controller therapy (inhaled corticosteroids ± long-acting β2-agonists) for at least 4 weeks prior to enrollment 4. Able to perform reproducible spirometry
Exclusion criteria
1. History of severe asthma exacerbation requiring ICU admission in the past 3 months 2. Use of systemic corticosteroids within 4 weeks prior to enrollment 3. Known hypersensitivity to Nigella sativa or its components 4. Other chronic respiratory diseases (e.g., cystic fibrosis, bronchiectasis) 5. Significant comorbidities (e.g., cardiac, renal, or hepatic disorders) 6. Inability to comply with study procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Asthma Control Questionnaire (ACQ) | 12 weeks | — |
| Forced Expiratory Volume in 1 second (FEV₁) | 12 weeks | Pulmonary function will be assessed using standard spirometry performed according to American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines. |
| Forced Vital Capacity (FVC) | 12 weeks | Pulmonary function will be assessed using standard spirometry performed according to American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines. |
| FEV₁/FVC ratio | 12 weeks | Pulmonary function will be assessed using standard spirometry performed according to American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines. |
| Peak Expiratory Flow (PEF) | 12 weeks | Pulmonary function will be assessed using standard spirometry performed according to American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines. |